Provider Demographics
NPI:1467758433
Name:ROSE MARYKAW CUASUI DDS,PC
Entity Type:Organization
Organization Name:ROSE MARYKAW CUASUI DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSE MARY
Authorized Official - Middle Name:KAW
Authorized Official - Last Name:CUASUI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-507-8887
Mailing Address - Street 1:8330 VIETOR AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3260
Mailing Address - Country:US
Mailing Address - Phone:718-507-8887
Mailing Address - Fax:718-507-1024
Practice Address - Street 1:8330 VIETOR AVE STE 102
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3260
Practice Address - Country:US
Practice Address - Phone:718-507-8887
Practice Address - Fax:718-507-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty